Organization · Type 2 NPI

Community Care of West Virginia, Inc.

Federally Qualified Health Center (FQHC) · Buckhannon, WV

NPI number 1114277050 Active

Practice location

77 W Main St
Buckhannon, WV 26201-2236

Fax (304) 472-1341

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	2274-1060 (WV)

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Grace BowersCase Manager/Care Coordinator Buckhannon, WV NPI 1144134180

Other federally qualified health center (fqhc) providers in Buckhannon

See all in Buckhannon →

NPI record

NPI: 1114277050
Entity type: Organization (Type 2)
Issued: Sep 19, 2012
Last updated: Jan 19, 2024
Status: Active
Subpart: Yes of Community Care of West Virginia, Inc.

Other names

<unavail>
Carexpress of Buckhannon · doing business as

Authorized official

Dora L Potasnik
Credentialing
(304) 317-7275

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114277050

Community Care of West Virginia, Inc.'s National Provider Identifier is 1114277050, issued on Sep 19, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Buckhannon, WV. The record was last updated on Jan 19, 2024.